Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.50 / $56.85 / $88.24	Facility		$31.50	$56.85	$88.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.29 / $25.42 / $52.20	Professional		$19.29	$25.42	$52.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.06 / $52.88 / $66.09	Professional		$35.06	$52.88	$66.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.22 / $51.14 / $64.36	Professional		$29.22	$51.14	$64.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.22 / $37.99 / $67.20	Facility		$29.22	$37.99	$67.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $29.22 / $109.95	Professional		$17.53	$29.22	$109.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $35.06 / $46.15 / $64.03	Facility		$35.06	$46.15	$64.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.06 / $49.03 / $64.03	Professional		$35.06	$49.03	$64.03
United Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $17.53 / $63.70	Professional		$17.53	$17.53	$63.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.22 / $29.22 / $29.22	Professional		$29.22	$29.22	$29.22